API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-08-24 08:03:37.554133 | 2025-08-25 02:05:03.301577 | 11415681 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | 11415681 | Athletic Physical Therapy Inc | 1980-08-02 | 2025-08-27 | M | AE | PT | HILTSER | 208616901 | LORNE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.130734533.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8048052/check_11415681_77c87fdc-d804-4bd9-af9b-0b4f4db23cb2.json | N/A | N/A | N/A | N/A | N/A | 208616901 | Commercial | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1980-08-02 | N/A | 265486 | N/A | C1 | false | HILTSER | N/A | LORNE | N/A | N/A | N/A | SIGNATUREVALUE ALLIANCE HMO GOLD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8630968424 | N/A | N/A | 8048052 | 2222 | 4802 | 11279296 | N/A | 6844134 | 2025-08-25 02:05:03.301577 | 2025-08-29 16:18:21.978739 |
| 2025-08-24 08:03:28.451500 | 2025-08-25 02:15:51.544518 | 11415140 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11415140 | Athletic Physical Therapy Inc | 1981-02-28 | 2025-08-27 | F | PT | N/A | CARROLL | JPU767A23997 | REBECCA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131215633.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550993/check_11415140_56aa1168-7a22-45ca-9bfa-d838cc82e554.json | N/A | N/A | N/A | N/A | N/A | JPU767A23997 | Preferred Provider Organization (PPO) | SAGE PUBLICATIONS INC | ANTHEM BLUE CROSS | N/A | 1981-02-28 | 040 | L12045M001 | N/A | PR | false | STAEVSKI | N/A | THOMAS | N/A | 9999-12-31 | 2025-01-01 | PPO 51-250 PRUDENT BUYER INCENTIVE PLAN | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8630988143 | N/A | N/A | 5550993 | 2222 | 4793 | 11300202 | N/A | 4219817 | 2025-08-25 02:15:51.544518 | 2025-05-13 04:29:37.230864 |
| 2025-08-24 08:03:28.018901 | 2025-08-25 02:15:49.461340 | 11415120 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11415120 | Athletic Physical Therapy Inc | 1959-07-17 | 2025-08-27 | F | PT | N/A | GILBERT | JPU461A71640 | SHERRI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131215633.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550973/check_11415120_b91e97ca-921c-4dbd-b936-37768626a1fb.json | N/A | N/A | N/A | N/A | N/A | 3VT9D21WD25 | Preferred Provider Organization (PPO) | AGENCY FOR THE PERFORMING ARTS INC CA/OOS | ANTHEM BLUE CROSS | N/A | 1959-07-17 | 040 | L12155M001 | N/A | PR | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2025-01-01 | PPO PRUDENT BUYER CLASSIC MULTI-CHOICE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8630988142 | N/A | N/A | 5550973 | 2222 | 4793 | 11300074 | N/A | 4219803 | 2025-08-25 02:15:49.461340 | 2025-05-13 04:29:37.230842 |
| 2025-08-24 08:03:27.441529 | 2025-08-25 02:15:53.049890 | 11415091 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11415091 | Athletic Physical Therapy Inc | 2016-10-15 | 2025-08-27 | F | PT | N/A | WALTER | JXN523A76388 | KARA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131215633.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550923/check_11415091_f5c48354-ad5f-4781-a6e1-d8b7bb12fe83.json | N/A | N/A | N/A | N/A | N/A | JXN523A76388 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 2016-10-15 | 040 | 174222M3A1 | N/A | PR | false | WALTER | N/A | KYLE | N/A | 9999-12-31 | 2023-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8630988141 | N/A | N/A | 5550923 | 2222 | 4801 | 11300299 | N/A | 4219763 | 2025-08-25 02:15:53.049890 | 2025-05-13 04:29:37.230804 |
| 2025-08-24 08:03:27.054955 | 2025-08-25 02:13:00.429579 | 11415071 | N/A | N/A | 60054 | Aetna | 1114042165 | 11415071 | Athletic Physical Therapy Inc | 1991-03-21 | 2025-08-27 | F | AE | PT | CARDINALI | W286606913 | NICOLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131215633.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550850/check_11415071_df615279-4bec-4253-8a43-d3f1d1fa3c9a.json | N/A | N/A | N/A | N/A | N/A | W286606913 | Preferred Provider Organization (PPO) | LHI GROUP INC. | AETNA | N/A | 1991-03-21 | 0887487 | 088748702000001 | N/A | PR | false | CARDINALI | N/A | NICOLE | N/A | N/A | N/A | OPEN CHOICE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8630988140 | N/A | N/A | 5550850 | 2222 | 4802 | 11290868 | N/A | 4215195 | 2025-08-25 02:13:00.429579 | 2025-05-14 09:08:40.751930 |
| 2025-08-24 08:03:26.740339 | 2025-08-25 02:15:44.940009 | 11415053 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 11415053 | Athletic Physical Therapy Inc | 1990-11-12 | 2025-08-27 | F | AE | PT | SIMONS | 94378141G | DESIREE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131215633.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550102/check_11415053_1efb3e33-b61f-4a5b-b9b6-9cd989bbd66b.json | N/A | N/A | N/A | N/A | N/A | 94378141G | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1990-11-12 | N/A | N/A | N/A | N/A | false | SIMONS | N/A | DESIREE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8630988139 | N/A | N/A | 5550102 | 2222 | 4802 | 11299815 | N/A | 4212176 | 2025-08-25 02:15:44.940009 | 2025-05-13 04:29:37.226514 |
| 2025-08-24 08:03:26.466250 | 2025-08-25 02:15:52.741484 | 11415040 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11415040 | Athletic Physical Therapy Inc | 1957-04-19 | 2025-08-27 | F | PT | N/A | VALDIVIA | JQW088W14517 | CRISTINA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131215633.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549398/check_11415040_b9966290-362c-4ccb-ae3a-222dfd9e4ed5.json | N/A | N/A | N/A | N/A | N/A | JQW088W14517 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1957-04-19 | 040 | CAMCRWP0 | N/A | MP | false | VALDIVIA | N/A | CRISTINA | N/A | 9999-12-31 | 2024-01-01 | CA H4471-005-000 ANTHEM DUAL ADVANTAGE (HMO D-SNP) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8630988138 | N/A | N/A | 5549398 | 2222 | 4801 | 11300274 | N/A | 4219064 | 2025-08-25 02:15:52.741484 | 2025-06-06 15:26:44.406275 |
| 2025-08-24 08:03:26.288683 | 2025-08-25 02:16:07.948703 | 11415033 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11415033 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-08-27 | F | PT | N/A | LUCZYWEK | HFD100011213709 | DEBORA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131215633.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_11415033_03089ffa-6988-4b33-8c5f-d69885773afe.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1962-01-25 | N/A | N/A | N/A | N/A | false | LUCZYWEK | N/A | DEBORA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8630988137 | N/A | N/A | 5549317 | 2222 | 4801 | 11301225 | N/A | 4219010 | 2025-08-25 02:16:07.948703 | 2026-01-09 18:32:07.618867 |
| 2025-08-24 08:03:22.907626 | 2025-08-25 02:06:03.833435 | 11414855 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11414855 | Athletic Physical Therapy Inc | 1955-05-21 | 2025-08-27 | F | PT | N/A | MARTINEZ | HFD100011199462 | RACHEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.130734533.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8026951/check_11414855_12616959-f1ec-4f57-81c1-fdeff918d0b6.json | N/A | N/A | N/A | N/A | N/A | HFD100011199462 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1955-05-21 | N/A | N/A | N/A | N/A | false | MARTINEZ | N/A | RACHEL | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8630969901 | N/A | N/A | 8026951 | 2222 | 4801 | 11279841 | N/A | 6828511 | 2025-08-25 02:06:03.833435 | 2025-08-14 00:23:35.929152 |
| 2025-08-24 08:03:22.670010 | 2025-08-25 02:05:19.585573 | 11414842 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11414842 | Athletic Physical Therapy Inc | 1997-05-14 | 2025-08-27 | F | PT | N/A | SCHRODT | XDP041W16673 | CLARE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.130734533.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8026784/check_11414842_104a3463-374a-448d-9e7c-08124efa41d7.json | N/A | N/A | N/A | N/A | N/A | XDP041W16673 | Preferred Provider Organization (PPO) | REGENTS OF THE UNIVERSITY OF CALIFORNIA | ANTHEM BLUE CROSS | N/A | 1997-05-14 | 040 | 281636M037 | N/A | PR | false | SCHRODT | N/A | CLARE | N/A | 9999-12-31 | 2023-06-12 | UC RESIDENTS AND FELLOWS PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8630969899 | N/A | N/A | 8026784 | 2222 | 4802 | 11279439 | N/A | 6828383 | 2025-08-25 02:05:19.585573 | 2025-08-12 22:27:19.278771 |
| 2025-08-24 08:03:21.600029 | 2025-08-25 02:34:00.706914 | 11414792 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11414792 | Athletic Physical Therapy Inc | 2002-02-06 | 2025-08-27 | F | PT | N/A | MANALO LAMANNA | GSC134174111001 | ISADORE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.130741593.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6554790/check_11414792_50e6a8b8-2fe4-437f-bc7c-ef27fdaa0b9a.json | N/A | N/A | N/A | N/A | N/A | GSC134174111001 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 2002-02-06 | N/A | N/A | N/A | N/A | false | MANALO LAMANNA | N/A | ISADORE | N/A | 9999-12-31 | 2022-01-01 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8630962822 | N/A | N/A | 6554790 | 2222 | 4793 | 11351674 | N/A | 5177947 | 2025-08-25 02:34:00.706914 | 2026-05-11 21:31:25.186699 |
| 2025-08-24 08:03:18.763408 | 2025-08-25 02:43:20.521753 | 11414615 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11414615 | Athletic Physical Therapy Inc | 1939-06-18 | 2025-08-27 | F | AE | PT | SEGURA | 8DD9YX8FN41 | CIRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.130741593.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6553930/check_11414615_b1f8b4b2-a827-4487-90dd-49be2c0dd38e.json | N/A | N/A | N/A | N/A | N/A | 8DD9YX8FN41 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-18 | S5617 | N/A | N/A | MA | false | SEGURA | N/A | CIRA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8630962815 | N/A | N/A | 6553930 | 2222 | 4801 | 11367007 | N/A | 5177091 | 2025-08-25 02:43:20.521753 | 2025-06-23 20:23:14.340232 |
| 2025-08-24 08:03:15.362249 | 2025-08-25 02:15:31.993346 | 11414410 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11414410 | N/A | 1962-06-19 | 2025-08-27 | M | AE | PT | MILIAN GOMEZ | 93331019F | MIGUEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131215633.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543555/check_11414410_c6b88f31-7063-4ae2-9b80-80035006173c.json | N/A | N/A | N/A | N/A | N/A | 93331019F | N/A | N/A | HEALTH NET OF CALIFORNIA AND OREGON | N/A | 1962-06-19 | N/A | N/A | N/A | N/A | false | MILIAN GOMEZ | N/A | MIGUEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8630987954 | N/A | N/A | 5543555 | 2222 | 4802 | 11299101 | N/A | 4215332 | 2025-08-25 02:15:31.993346 | 2025-08-06 16:15:15.716322 |
| 2025-08-24 08:03:15.057928 | 2025-08-25 02:16:26.166759 | 11414388 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11414388 | Athletic Physical Therapy Inc | 1977-03-23 | 2025-08-27 | M | PT | N/A | FISHMAN | XEA913817626 | KEVIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131215633.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543343/check_11414388_1c07745d-5b0d-45d8-9a8a-b431309e0c21.json | N/A | N/A | N/A | N/A | N/A | XAN913817626 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1977-03-23 | 1477PPOX0002 | W0051411 | N/A | PR | false | FISHMAN | N/A | KEVIN | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8630987953 | N/A | N/A | 5543343 | 2222 | 4793 | 11302303 | N/A | 4215143 | 2025-08-25 02:16:26.166759 | 2025-05-13 04:29:37.229456 |
| 2025-08-24 08:03:14.509870 | 2025-08-25 02:19:54.903194 | 11414348 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11414348 | Athletic Physical Therapy Inc | 1952-11-19 | 2025-08-27 | F | AE | PT | HOWARD | 6JJ9KX0PY45 | JUDI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131215633.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543340/check_11414348_5690c6b6-e1c4-4936-b1b6-c53788166c52.json | N/A | N/A | N/A | N/A | N/A | 6JJ9KX0PY45 | Medicare Part B | N/A | HUMANA INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-11-19 | S5884 | N/A | N/A | MB | false | HOWARD | N/A | JUDI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8630987952 | N/A | N/A | 5543340 | 2222 | 4793 | 11313483 | N/A | 4215147 | 2025-08-25 02:19:54.903194 | 2025-05-13 04:29:37.229464 |
| 2025-08-24 08:03:14.003146 | 2025-08-25 02:12:43.866445 | 11414318 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 11414318 | Athletic Physical Therapy Inc | 2001-01-23 | 2025-08-27 | F | AE | PT | SILVERS | 1866968 | JOIEMAY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131215633.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543335/check_11414318_a50ddde0-aa01-4df7-a36b-016ba8f47cfd.json | N/A | N/A | N/A | N/A | N/A | 1866968 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 2001-01-23 | 18126CA001000305 | QMXEM01910 | N/A | N/A | false | SILVERS | N/A | JOIEMAY | N/A | 2025-12-31 | 2025-01-01 | SILVER 87 HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8630987951 | N/A | N/A | 5543335 | 2222 | 4802 | 11290163 | N/A | 4215139 | 2025-08-25 02:12:43.866445 | 2025-05-13 21:20:11.455022 |
| 2025-08-24 08:03:13.484126 | 2025-08-25 02:15:44.528330 | 11414286 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 11414286 | Athletic Physical Therapy Inc | 1964-03-27 | 2025-08-27 | M | AE | PT | MCCOWAN | 93341440D | KEVIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131215633.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543270/check_11414286_1067402b-2782-4d5c-9345-4acd88db4320.json | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1964-03-27 | N/A | N/A | N/A | N/A | false | MCCOWAN | N/A | KEVIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8630987950 | N/A | N/A | 5543270 | 2222 | 4793 | 11299788 | N/A | 4215086 | 2025-08-25 02:15:44.528330 | 2025-05-13 04:29:37.229401 |
| 2025-08-24 08:03:13.060095 | 2025-08-25 02:16:27.903187 | 11414253 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11414253 | Athletic Physical Therapy Inc | 2002-06-02 | 2025-08-27 | M | PT | N/A | VIRGIL | XEK905426435 | NICHOLAS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131215633.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543237/check_11414253_6cdb67bd-25b1-4833-9bf1-97beb76011e4.json | N/A | N/A | N/A | N/A | N/A | XEK905426435 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2002-06-02 | 2001ZK002195 | X0001000 | N/A | PR | false | VIRGIL | N/A | JEFF | N/A | 2028-06-30 | 2025-01-01 | ULTIMATE VISION 15 25 120 JAN16 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8630987949 | N/A | N/A | 5543237 | 2222 | 4802 | 11302412 | N/A | 4215054 | 2025-08-25 02:16:27.903187 | 2025-05-13 04:29:37.229375 |
| 2025-08-24 08:03:12.739230 | 2025-08-25 02:15:50.835896 | 11414228 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11414228 | Athletic Physical Therapy Inc | 2003-10-09 | 2025-08-27 | F | PT | N/A | LUKOWITSCH | XDPCA8263500 | HALLIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131215633.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543178/check_11414228_5c382feb-589f-49bf-913f-f7ca05d04d39.json | N/A | N/A | N/A | N/A | N/A | XDPCA8263500 | Preferred Provider Organization (PPO) | UCLA - UNDERGRAD | ANTHEM BLUE CROSS | N/A | 2003-10-09 | 040 | 275958P701 | N/A | PR | false | LUKOWITSCH | N/A | HALLIE | N/A | 2025-09-22 | 2024-09-23 | PPO UC SHIP | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8630987948 | N/A | N/A | 5543178 | 2222 | 4802 | 11300163 | N/A | 4215006 | 2025-08-25 02:15:50.835896 | 2025-05-13 04:29:37.229325 |
| 2025-08-24 08:03:12.503069 | 2025-08-25 02:13:01.896652 | 11414213 | N/A | N/A | 60054 | Aetna | 1114042165 | 11414213 | Athletic Physical Therapy Inc | 1982-02-18 | 2025-08-27 | M | AE | PT | TORGAN | W291598583 | SPENCER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131215633.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542863/check_11414213_91690503-b494-4c19-9001-59e990d20220.json | N/A | N/A | N/A | N/A | N/A | W291598583 | Point of Service (POS) | MORGAN STANLEY DOMESTIC HOLDINGS, L | AETNA | N/A | 1982-02-18 | 0868849 | 086884901000001 | N/A | PS | false | TORGAN | N/A | SPENCER | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8630987947 | N/A | N/A | 5542863 | 2222 | 4793 | 11290939 | N/A | 4214725 | 2025-08-25 02:13:01.896652 | 2025-05-13 04:29:37.229043 |
| 2025-08-24 08:03:12.222700 | 2025-08-25 02:15:44.215512 | 11414193 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 11414193 | Athletic Physical Therapy Inc | 1960-09-15 | 2025-08-27 | F | AE | PT | HAMI | 92932800G | FARIBA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131215633.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542611/check_11414193_41bef2e5-1a9b-4c5f-9581-84e41a09a78a.json | N/A | N/A | N/A | N/A | N/A | 92932800G | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1960-09-15 | N/A | N/A | N/A | N/A | false | HAMI | N/A | FARIBA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8630987945 | N/A | N/A | 5542611 | 2222 | 4802 | 11299774 | N/A | 4214490 | 2025-08-25 02:15:44.215512 | 2025-05-13 04:29:37.228806 |
| 2025-08-24 08:03:11.918906 | 2025-08-25 02:15:43.128562 | 11414175 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 11414175 | Athletic Physical Therapy Inc | 1988-11-03 | 2025-08-27 | F | AE | PT | CAPISTRANO | 98696372G | FERDELLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131215633.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542513/check_11414175_d6e5e808-1da9-466d-9a27-a23088f418f3.json | N/A | N/A | N/A | N/A | N/A | 98696372G | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1988-11-03 | MCLA | MWLLNMEG21 | N/A | N/A | false | CAPISTRANO | N/A | FERDELLE | N/A | 2078-12-31 | 2024-05-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8630987944 | N/A | N/A | 5542513 | 2222 | 4793 | 11299716 | N/A | 4214418 | 2025-08-25 02:15:43.128562 | 2025-07-03 18:12:11.075357 |
| 2025-08-24 08:03:11.450613 | 2025-08-25 02:15:52.414325 | 11414145 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11414145 | Athletic Physical Therapy Inc | 1948-07-22 | 2025-08-27 | F | PT | N/A | UTLEY | MBL209M95251 | SHERIDAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131215633.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542387/check_11414145_d8ddf6d7-30f0-4b15-969e-f14250beb8a1.json | N/A | N/A | N/A | N/A | N/A | MBL209M95251 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1948-07-22 | 040 | CAEGR002 | N/A | N/A | false | UTLEY | N/A | SHERIDAN | N/A | 9999-12-31 | 2021-01-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8630987943 | N/A | N/A | 5542387 | 2222 | 4801 | 11300257 | N/A | 4214300 | 2025-08-25 02:15:52.414325 | 2025-06-17 13:03:57.252701 |
| 2025-08-24 08:03:10.874510 | 2025-08-25 02:15:52.121609 | 11414109 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11414109 | Athletic Physical Therapy Inc | 1942-12-17 | 2025-08-27 | F | PT | N/A | STEINBERG | MBL988M98459 | JUDY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131215633.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542014/check_11414109_3f508f08-b507-42f6-9caa-55450812cb9d.json | N/A | N/A | N/A | N/A | N/A | MBL988M98459 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1942-12-17 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | JUDITH | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8630987942 | N/A | N/A | 5542014 | 2222 | 4793 | 11300241 | N/A | 4213977 | 2025-08-25 02:15:52.121609 | 2025-05-13 04:29:37.228294 |
| 2025-08-24 08:03:10.568916 | 2025-08-25 02:15:26.890329 | 11414084 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | 11414084 | Athletic Physical Therapy Inc | 1947-02-01 | 2025-08-27 | M | AE | PT | YEE | 412922301 | HARRY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131215633.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541972/check_11414084_11261f33-88b6-482a-b4ac-9dd51b07561e.json | N/A | N/A | N/A | N/A | N/A | 412922301 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1947-02-01 | N/A | HCFA21 | N/A | HN | false | YEE | N/A | HARRY | N/A | N/A | N/A | AARP MEDICARE ADVANTAGE FROM UHC CA-004P (HMO-POS) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8630987941 | N/A | N/A | 5541972 | 2222 | 4793 | 11298787 | N/A | 4213941 | 2025-08-25 02:15:26.890329 | 2025-05-13 04:29:37.228259 |
| 2025-08-24 08:03:10.200046 | 2025-08-25 02:15:48.178459 | 11414053 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11414053 | Athletic Physical Therapy Inc | 1959-05-13 | 2025-08-27 | F | PT | N/A | ADRIANZEN FERNAN | MMA221W20054 | AURA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131215633.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541944/check_11414053_56eb380a-3fff-4c55-8b64-cb4a2874486f.json | N/A | N/A | N/A | N/A | N/A | MMA221W20054 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1959-05-13 | 040 | CAMCRWP0 | N/A | MP | false | ADRIANZEN FERNANDEZ | N/A | AURA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8630987940 | N/A | N/A | 5541944 | 2222 | 4801 | 11300003 | 4184 | 4213907 | 2025-08-25 02:15:48.178459 | 2025-05-13 04:29:37.228228 |
| 2025-08-24 08:03:09.997576 | 2025-08-25 02:15:51.832035 | 11414040 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11414040 | Athletic Physical Therapy Inc | 1940-08-31 | 2025-08-27 | M | PT | N/A | STEINBERG | MBL875M98441 | HARRIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131215633.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541917/check_11414040_faa54a76-44ab-45f9-8e56-a114f5a46ac8.json | N/A | N/A | N/A | N/A | N/A | MBL875M98441 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1940-08-31 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | HARRIS | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8630987939 | N/A | N/A | 5541917 | 2222 | 4793 | 11300223 | N/A | 4213891 | 2025-08-25 02:15:51.832035 | 2025-05-13 04:29:37.228207 |
| 2025-08-24 08:03:09.655266 | 2025-08-25 02:16:28.161344 | 11414016 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11414016 | Athletic Physical Therapy Inc | 2008-11-19 | 2025-08-27 | M | PT | N/A | ZARIN | XEK905647080 | ELLA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131215633.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541582/check_11414016_21dd3423-8b8c-4887-a20c-6a22733c0385.json | N/A | N/A | N/A | N/A | N/A | XEK905647080 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-11-19 | 2001ZH002662 | X0001000 | N/A | PR | false | ZARIN | N/A | DORON | N/A | 2027-11-30 | 2017-02-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8630987938 | N/A | N/A | 5541582 | 2222 | 4793 | 11302428 | N/A | 4213586 | 2025-08-25 02:16:28.161344 | 2025-05-28 20:44:53.527917 |
| 2025-08-24 08:03:09.071642 | 2025-08-25 02:15:50.542714 | 11413981 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11413981 | Athletic Physical Therapy Inc | 2012-06-25 | 2025-08-27 | F | PT | N/A | LORD | JQK822A53740 | ALYSSA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131215633.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541409/check_11413981_97ba1de4-b82f-459c-a3d1-98dde7af3d3d.json | N/A | N/A | N/A | N/A | N/A | JQT822A53740 | Health Maintenance Organization (HMO) | JLIV SERVICES INC | ANTHEM BLUE CROSS | N/A | 2012-06-25 | 040 | U54789 | N/A | HM | false | LORD | N/A | JETHRO | N/A | 9999-12-31 | 2025-08-01 | CA SG PRISELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8630987937 | N/A | N/A | 5541409 | 2222 | 4793 | 11300144 | 4184 | 4213435 | 2025-08-25 02:15:50.542714 | 2025-05-13 04:29:37.227756 |
| 2025-08-24 08:03:08.624996 | 2025-08-25 02:16:26.450323 | 11413951 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11413951 | Athletic Physical Therapy Inc | 1963-07-22 | 2025-08-27 | F | PT | N/A | ZIA AMIRHOSSEINI | XED911835748 | PARNIAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131215633.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541314/check_11413951_009b930f-e835-4b80-9a7d-fa6dc35cf00e.json | N/A | N/A | N/A | N/A | N/A | XED911835748 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-07-22 | 2001ZK002186 | X0001004 | N/A | PR | false | HARRIS | N/A | ROBERT | N/A | 9999-12-31 | 2023-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8630987936 | N/A | N/A | 5541314 | 2222 | 4793 | 11302320 | N/A | 4213343 | 2025-08-25 02:16:26.450323 | 2025-06-06 02:21:37.603701 |
| 2025-08-24 08:03:08.366397 | 2025-08-25 02:13:54.305556 | 11413932 | N/A | N/A | 61101 | Regal Medical Group | 1114042165 | 11413932 | Athletic Physical Therapy Inc | 1949-03-25 | 2025-08-27 | F | AE | PT | BARON | H7986555300 | AIDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131215633.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541086/check_11413932_ffd36cb7-1671-4524-aca2-0bd5f0b7b74d.json | N/A | N/A | N/A | N/A | N/A | H79865553 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC. | HUMANA | 076 657 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1949-03-25 | N/A | 5A962001 | N/A | HN | false | BARON | N/A | AIDA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8630987935 | N/A | N/A | 5541086 | 2222 | 4793 | 11293469 | N/A | 4213141 | 2025-08-25 02:13:54.305556 | 2025-05-13 04:29:37.227470 |
| 2025-08-24 08:03:08.204289 | 2025-08-25 02:14:58.758822 | 11413923 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 11413923 | Athletic Physical Therapy Inc | 1940-03-29 | 2025-08-27 | F | AE | PT | MARTINEZ | 40032670501 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131215633.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540591/check_11413923_20a65539-c60f-438d-b720-27e99be1bae6.json | N/A | N/A | N/A | N/A | N/A | 40032670501 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1940-03-29 | 2025H5425001 | H5425M | N/A | N/A | false | MARTINEZ | N/A | MARIA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8630987934 | N/A | N/A | 5540591 | 2222 | 4801 | 11297151 | N/A | 4212724 | 2025-08-25 02:14:58.758822 | 2025-07-26 22:27:37.781276 |
| 2025-08-24 08:03:07.833357 | 2025-08-25 02:16:26.995892 | 11413896 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11413896 | Athletic Physical Therapy Inc | 1997-07-14 | 2025-08-27 | M | PT | N/A | SHERBETJIAN | XED910281081 | JACK | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131215633.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540558/check_11413896_d5595456-b5b2-4664-a07d-d84018f1aab9.json | N/A | N/A | N/A | N/A | N/A | XED910281081 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1997-07-14 | 2001ZK002184 | X0001004 | N/A | PR | false | SHERBETJIAN | N/A | JACK | N/A | 9999-12-31 | 2021-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8630987933 | N/A | N/A | 5540558 | 2222 | 4801 | 11302357 | N/A | 4212698 | 2025-08-25 02:16:26.995892 | 2025-05-13 04:29:37.227042 |
| 2025-08-24 08:03:07.612919 | 2025-08-25 02:14:24.499070 | 11413881 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 11413881 | Athletic Physical Therapy Inc | 1967-12-13 | 2025-08-27 | M | AE | PT | MIDDLETON | U3369221802 | BLAKE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131215633.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540185/check_11413881_1ef10be5-c4db-4603-abca-51be5ffb51ab.json | N/A | N/A | N/A | N/A | N/A | U3369221802 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 1967-12-13 | N/A | N/A | N/A | N/A | false | MIDDLETON | N/A | BLAKE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8630987932 | N/A | N/A | 5540185 | 2222 | 4802 | 11295122 | N/A | 4212381 | 2025-08-25 02:14:24.499070 | 2025-12-17 20:12:42.035054 |
| 2025-08-24 08:03:07.360429 | 2025-08-25 02:15:51.152687 | 11413862 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11413862 | Athletic Physical Therapy Inc | 2007-03-28 | 2025-08-27 | M | PT | N/A | MAGEN | B6YE01199897 | NADAV | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131215633.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539958/check_11413862_db8199a7-12bc-4856-b944-d3f49b5ffc43.json | N/A | N/A | N/A | N/A | N/A | B6YE01199897 | Preferred Provider Organization (PPO) | CHARTERLIFE-2015 HIGH EPO | ANTHEM BLUE CROSS | N/A | 2007-03-28 | 040 | L06598M023 | N/A | PR | false | MAGEN | N/A | LIMOR | N/A | 9999-12-31 | 2025-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8630987931 | N/A | N/A | 5539958 | 2222 | 4793 | 11300181 | N/A | 4212189 | 2025-08-25 02:15:51.152687 | 2025-05-13 04:29:37.226532 |
| 2025-08-24 08:03:06.975514 | 2025-08-25 02:14:59.285567 | 11413842 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 11413842 | N/A | 1939-12-29 | 2025-08-27 | F | AE | PT | ALESSI | 31019902301 | JEAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131215633.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539133/check_11413842_87dc4108-5b46-4aac-b486-86cf06937308.json | N/A | N/A | N/A | N/A | N/A | 31019902301 | N/A | N/A | SCAN HEALTH PLAN - CALIFORNIA | N/A | 1939-12-29 | N/A | N/A | N/A | N/A | false | ALESSI | N/A | JEAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8630987930 | N/A | N/A | 5539133 | 2222 | 4793 | 11297190 | N/A | 4211471 | 2025-08-25 02:14:59.285567 | 2025-07-09 03:59:33.308587 |
| 2025-08-24 08:03:06.344613 | 2025-08-25 02:19:54.495259 | 11413808 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11413808 | Athletic Physical Therapy Inc | 1964-05-26 | 2025-08-27 | F | AE | PT | FERNANDEZ | 7XX5TU4CF61 | LISA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131215633.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538194/check_11413808_8ba0323d-801f-4ecc-a701-70b1bb56de0a.json | N/A | N/A | N/A | N/A | N/A | 7XX5TU4CF61 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1964-05-26 | S5617 | N/A | N/A | MB | false | FERNANDEZ | N/A | LISA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8630987929 | N/A | N/A | 5538194 | 2222 | 4793 | 11313463 | N/A | 4210649 | 2025-08-25 02:19:54.495259 | 2025-06-19 18:43:58.008751 |
| 2025-08-24 08:03:05.852876 | 2025-08-25 02:19:53.569967 | 11413773 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11413773 | Athletic Physical Therapy Inc | 1941-09-20 | 2025-08-27 | U | AE | PT | ANWAR | 1Q84U28KD79 | KAWKY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131215633.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537590/check_11413773_715667d8-ece6-4823-8da0-0852fc7c3533.json | N/A | N/A | N/A | N/A | N/A | 1Q84U28KD79 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1941-09-20 | S4802 | N/A | N/A | MA | false | ANWAR | N/A | KAWKY | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8630987927 | N/A | N/A | 5537590 | 2222 | 4801 | 11313414 | N/A | 4210127 | 2025-08-25 02:19:53.569967 | 2026-04-16 20:03:01.426999 |
| 2025-08-24 08:03:05.538514 | 2025-08-25 02:15:39.084047 | 11413754 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 11413754 | Athletic Physical Therapy Inc | 1949-09-13 | 2025-08-27 | M | AE | PT | GOMES | 00000285293 | NEMESIO | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131215633.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537439/check_11413754_9840cb47-ed25-48a2-a83c-449f9fbefadc.json | N/A | N/A | N/A | N/A | N/A | 00000285293 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1949-09-13 | H3815028 | N/A | N/A | HM | false | GOMES | N/A | NEMESIO | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8630987926 | N/A | N/A | 5537439 | 2222 | 4801 | 11299497 | 2630 | 4210001 | 2025-08-25 02:15:39.084047 | 2025-05-13 04:29:37.224421 |
| 2025-08-24 08:03:05.226703 | 2025-08-25 02:12:56.791918 | 11413735 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1114042165 | 11413735 | N/A | 2008-04-07 | 2025-08-27 | M | PT | N/A | HERRERA | LCB831759896 | JAIRO | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131215633.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537418/check_11413735_76017b7d-7f4d-4155-a8bc-90d50623d868.json | N/A | N/A | N/A | N/A | N/A | LCB831759896 | N/A | N/A | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 2008-04-07 | N/A | N/A | N/A | N/A | false | HERRERA | N/A | JAIRO | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8630987925 | N/A | N/A | 5537418 | 2222 | 4801 | 11290721 | N/A | 4209986 | 2025-08-25 02:12:56.791918 | 2025-05-13 04:29:37.224406 |
| 2025-08-24 08:03:04.821996 | 2025-08-25 02:15:50.237502 | 11413709 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11413709 | Athletic Physical Therapy Inc | 1969-03-28 | 2025-08-27 | M | PT | N/A | KOSTER | DGA11321380J | KEVIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131215633.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536722/check_11413709_2ecd0a55-45a9-44e3-a5cf-4dd2232ee5b9.json | N/A | N/A | N/A | N/A | N/A | DGA11321380J | Preferred Provider Organization (PPO) | DIRECTORS GUILD OF AMERICA | ANTHEM BLUE CROSS | N/A | 1969-03-28 | 040 | 276945M001 | N/A | PR | false | KOSTER | N/A | KEVIN | N/A | 9999-12-31 | 2025-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8630987924 | N/A | N/A | 5536722 | 2222 | 4802 | 11300123 | N/A | 4209420 | 2025-08-25 02:15:50.237502 | 2025-05-13 04:29:37.223843 |
| 2025-08-24 08:03:04.248734 | 2025-08-25 02:16:27.288208 | 11413672 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11413672 | Athletic Physical Therapy Inc | 1966-11-30 | 2025-08-27 | F | PT | N/A | SONDREAAL | WMC125993776001 | DIANE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131215633.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536323/check_11413672_cd9753da-b292-40a7-8151-bd5804a2ecf4.json | N/A | N/A | N/A | N/A | N/A | WMC125993776001 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1966-11-30 | N/A | N/A | N/A | N/A | false | SONDREAAL | N/A | DIANE | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8630987923 | N/A | N/A | 5536323 | 2222 | 4793 | 11302375 | N/A | 4209086 | 2025-08-25 02:16:27.288208 | 2025-05-13 04:29:37.223507 |
| 2025-08-24 08:03:03.604758 | 2025-08-25 02:15:48.792585 | 11413634 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11413634 | Athletic Physical Therapy Inc | 1947-04-18 | 2025-08-27 | F | PT | N/A | BELL | MNL880M78427 | JACQUELYN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131215633.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536041/check_11413634_45b860d3-daaa-41f1-94c1-0919bb9ba155.json | N/A | N/A | N/A | N/A | N/A | MNL880M78427 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1947-04-18 | 040 | CAMCRWP0 | N/A | MP | false | BELL | N/A | JACQUELYN | N/A | 9999-12-31 | 2024-07-01 | CA H4471-001-000 ANTHEM FULL DUAL ADVANTAGE ALIGNE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8630987921 | N/A | N/A | 5536041 | 2222 | 4802 | 11300040 | 4184 | 4208856 | 2025-08-25 02:15:48.792585 | 2025-05-13 04:29:37.223284 |
| 2025-08-24 08:03:03.174956 | 2025-08-25 02:15:38.781368 | 11413606 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 11413606 | Athletic Physical Therapy Inc | 1952-10-14 | 2025-08-27 | M | AE | PT | CHISARI | 00000386684 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131215633.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536007/check_11413606_378c56ef-9002-4546-8d72-d9c0d9f1d90a.json | N/A | N/A | N/A | N/A | N/A | 00000386684 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1952-10-14 | H3815028 | N/A | N/A | HM | false | CHISARI | N/A | THOMAS | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8630987919 | N/A | N/A | 5536007 | 2222 | 4793 | 11299483 | N/A | 4208829 | 2025-08-25 02:15:38.781368 | 2025-06-03 01:05:45.663969 |
| 2025-08-24 08:03:02.814115 | 2025-08-25 02:19:55.521799 | 11413581 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11413581 | Athletic Physical Therapy Inc | 1950-07-23 | 2025-08-27 | M | AE | PT | MELVILLE | 5K84YN1FD09 | LANNING | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131215633.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535728/check_11413581_1c34244a-00e2-47b4-b7cf-2ee4f6c71680.json | N/A | N/A | N/A | N/A | N/A | 5K84YN1FD09 | Medicare Part B | N/A | HUMANA INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-07-23 | S5884 | N/A | N/A | MB | false | MELVILLE | N/A | LANNING | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8630987915 | N/A | N/A | 5535728 | 2222 | 4802 | 11313517 | N/A | 4208598 | 2025-08-25 02:19:55.521799 | 2025-09-11 00:56:25.554348 |
| 2025-08-24 08:03:00.005424 | 2025-08-25 02:32:31.169795 | 11413406 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11413406 | Athletic Physical Therapy Inc | 2008-01-30 | 2025-08-27 | F | PT | N/A | NICCOL | WRXA12977807 | AVA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.130741593.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6528022/check_11413406_bbb91cdb-80df-40a3-ae31-6656dd22a7da.json | N/A | N/A | N/A | N/A | N/A | A12977807 | Preferred Provider Organization (PPO) | WRITERS GUILD INDUSTRY HEALTH FUND | ANTHEM BLUE CROSS | N/A | 2008-01-30 | 040 | 277242M002 | N/A | PR | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2025-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8630962491 | N/A | N/A | 6528022 | 2222 | 4793 | 11348479 | N/A | 5148860 | 2025-08-25 02:32:31.169795 | 2025-06-30 14:56:45.395723 |
| 2025-08-24 08:02:56.019210 | 2025-08-25 02:06:03.274550 | 11413141 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11413141 | Athletic Physical Therapy Inc | 1986-02-25 | 2025-08-27 | F | PT | N/A | GIANNE | XED910762094 | NATALIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.130734533.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7994545/check_11413141_af7afd7d-f099-4d0d-a8fc-d684edd69e83.json | N/A | N/A | N/A | N/A | N/A | XED910762094 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1986-02-25 | 2001ZK002185 | X0001004 | N/A | PR | false | GIANNE | N/A | NATALIE | N/A | 9999-12-31 | 2021-09-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8630969199 | N/A | N/A | 7994545 | 2222 | 4802 | 11279837 | N/A | 6802250 | 2025-08-25 02:06:03.274550 | 2025-08-11 23:58:28.358402 |
| 2025-08-24 08:02:55.141554 | 2025-08-25 02:06:03.543507 | 11413072 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11413072 | Athletic Physical Therapy Inc | 1975-07-23 | 2025-08-27 | F | PT | N/A | KU | XED914350584 | ANGELA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.130734533.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7991439/check_11413072_47682332-7912-480a-9294-fd0440aeda7a.json | N/A | N/A | N/A | N/A | N/A | XED914350584 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1975-07-23 | 2001ZK002184 | X0001004 | N/A | PR | false | KU | N/A | ANGELA | N/A | N/A | N/A | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8630969193 | N/A | N/A | 7991439 | 2222 | 4802 | 11279839 | N/A | 6799948 | 2025-08-25 02:06:03.543507 | 2025-08-19 22:19:45.977062 |
| 2025-08-24 08:02:54.968808 | 2025-08-25 02:52:28.131838 | 11413060 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 11413060 | Athletic Physical Therapy Inc | 1958-04-03 | 2025-08-27 | F | AE | PT | NIAZI | 00000388782 | RAHIMA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.130729539.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6958289/check_11413060_a7c597f2-19d1-4dae-b8a2-16161c71486b.json | N/A | N/A | N/A | N/A | N/A | 00000388782 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1958-04-03 | H3815028 | N/A | N/A | HM | false | NIAZI | N/A | RAHIMA | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8630956777 | N/A | N/A | 6958289 | 2222 | 4793 | 11376847 | N/A | 5983606 | 2025-08-25 02:52:28.131838 | 2025-07-18 18:03:17.155924 |
| 2025-08-24 08:02:54.012041 | 2025-08-25 02:05:18.905592 | 11412983 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11412983 | Athletic Physical Therapy Inc | 1971-05-04 | 2025-08-27 | F | PT | N/A | MAHAARACHCHI | EXHAN7912598 | MELONY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.130734533.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7988722/check_11412983_6d583dff-7d8f-4d3e-8557-b6d958dbb145.json | N/A | N/A | N/A | N/A | N/A | EXHAN7912598 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1971-05-04 | N/A | N/A | N/A | N/A | false | MAHAARACHCHI | N/A | MELONY | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8630969177 | N/A | N/A | 7988722 | 2222 | 4793 | 11279433 | N/A | 6798209 | 2025-08-25 02:05:18.905592 | 2025-10-29 15:15:17.952230 |